Advanced Tong Style Acupuncture Series: Volume2 To my wife Mo Chiaen-Yun, whose love, support, and encouragement enabled this book to come to fruition. Advanced Tong Style Acupuncture: OBSTETRICS & GYNECOLOGY The Acupuncture of Master Tong Ching-Chang and its Applications in Obstetrics & Gynecology. Compiled, Collated, and Translated by: James H. Maher, D.C., O.M.D., Dipl. Ac. Dipl. T. Ac. (NCCAOM), (ITARA) Foreword by: Robert Chu, M.S.O.M., L. Ac., Q.M.E., Ph.D. Author of: Essential Master Tung's Acupuncture, A quick clinical reference for Acupuncturists Copyright@ 2005: No portion of this publication, except for brief review, may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the copyright holder. ISBN 0-9759096-7-3 Disclaimer: This book is intended as an educational reference for licensed healthcare practitioners only. Because professional training and expertise are essential for the safe and effective practice of acupuncture, this manual is not intended for use by the laity. All treatment suggestions made within this text must be employed by qualified practitioners only. All non-practitioner readers should consult with their health care provider regarding suggestions made within this manual. Great care has been taken to ensure the accuracy of the information contained within this reference and is presented for educational purposes only. The staff and authors of MCY, LC recognize that clinicians accessing this information will have varying levels of training and expertise; consequently, we accept no responsibility for the results obtained by the application of the information contained within this text. Nor are the staff and authors of MCY, LC liable for the safety and suitability of the treatment suggestions, either alone or in combination with others. Neither the author of this reference, nor MCY, LC can be held responsible for errors of fact, translation, or omission, nor for any consequences arising from the use or misuse of the information contained herein. The use of acupuncture during pregnancy or while nursing must only be performed by those qualified to provide such services. Vll Contents Acknowledgements vi Foreword vii Introduction ix Table of Contents XIV Prof. Dr. Ching-Chang Tung xix Part 1: Gynecology Section 1: Menstrual Disorders 1 Section 11: Disorders of the Reproductive Organs 107 Chapter 1: External Genitalia 107 Chapter 2: Uterus 143 Chapter 3: Fallopian Tubes and Ovaries 253 Chapter 4: Vaginal Discharge 305 Section Ill: Disorders of the Breast 339 Section IV: Climacterium and Menopause 381 Section V: Miscellaneous 391 Part IT: Obstetrics Section 1: Disorders of Pregnancy 445 Section IT: Postpartum Disorders 487 Point Index 523 Bibliography 531 viii Acknowledgements This book, as with all worthwhile endeavors, would not have been possible without the inspiration, input, and assistance of many individuals. Yeshua, my redeemer and the 'boss of me'. Prof. Dr. Ching-Chang Tung for being the genius that he was. Drs. So Tin-Yao, Ted Kaptchuk, Andrew Gamble, and all the 'old' professors of the New England School of Acupuncture for helping me get my acupuncture 'feet wet' way back in the early 1980's. Drs. Hsiao Hung-Hsun, Hwang Wei-San, Chang Yung-Hsien, and He Ch'ao-Hsi my Taiwanese professors at the Tainan Provincial and China Medical Teaching Hospitals who taught me to demand more of myself for my patients than I ever thought possible. Drs. Lai Chin-Hsiung, Hu Ping-Ch'uan, Li Kuo-Cheng, Young Wei-Chieh, and Meng Chieh for being so selfless and sharing their expertise with 'old hundred names'. Drs. Wangden Carson, Palden Carson, and Miriam Lee for first introducing the Tung Style of Acupuncture into the English speaking acupuncture community. Drs. C.K. Lo, Chairman, S.K. Tsui, Vice-Chairman and Z.R. Sun, Clinical Director of the International Acupuncture Society, Hong Kong/Shen Zhen, PRC for instilling in me the desire to translate Chinese works into English for the benefit of all. Drs. Paul Jaskoviak, John Chambers, and the Hon. Judge Charles J. Rogers for going to bat for me in the 'bottom of the ninth' when I was behind one to nothing. Drs. Edward R. Maher, Sr., James E. Bailey, and Laurence Altshuler for being physicians cut from a superior mold. My mother Mary Prances Maher, my sister Michaela F. Maher, and my brothers Dr. Edward R. Maher, Jr. and Maj. Joseph M. Maher for all their support these many long years. My patients over the last 20+ years for teaching me the things only a patient can teach a physician. My daughter Meng Kai-Ru (Carolyn) for her painstaking efforts in producing the artwork and diagrams. Finally, Mo Chiaen-Yun (Jennifer) my wife, Meng Kai-Ru (Carolyn) my daughter, and Meng Kai Jie (J.J.) my son for all their love, caring, and support without which my life means naught. IX Foreword It is with great pleasure and high regard that I write this foreword for Dr. lames Maher's new book on Advanced Tung Style Acupuncture: Obstetrics and Genecology. It is truly a great text and wonderful resource for those who already practice the Acupuncture of Master Tung and want to learn its application in gynecology and obstetrics. I have personally met Dr. Maher when he attended my seminar on "Master Tung's Acupuncture" given at the American College of Acupuncture and Oriental Medicine in Houston, TX on October 25, 2003. He introduced himself during a break and spoke with me regarding Tung's Acupuncture in Mandarin Chinese! Later he began to speak to me in Taiwanese, I was truly impressed with his gift of language and dialects! After the seminar, Dr. Maher kept in touch with me, and he recently released his first book called Advanced Tung Style Acupuncture: The Dao Ma Needling Technique of Master Tung Ching-Chang, which is also a classic in that subject matter in English. In this book, as in his previous work, Dr. Maher gathers and researches all the written literature in Chinese on Master Tung's Acupuncture and lists all the treatment protocols in the treatment of OB/GYN disorders. Since the majority of all patients are female, this book is indispensable and should be on every Acupuncturist's bookshelf. Master Tung Ching-Chang was the greatest Acupuncturist in the last generation and literally had over 100 patients per day in which he saw in his small clinic. Master Tung arrived in Taiwan after the Communists took over in China in 1949 along with Chiang Kai-shek's Kuomintang party and began a successful practice in Taipei, Taiwan. He was an Acupuncture practitioner in Taiwan for 26 years, and through out that time, he allegedly treated over 400,000 patients, with about a fourth of them treated at no charge. For these humanitarian deeds, Master Tung was decorated with an award of "Representative of Fine People and Fine Deeds" in Taiwan. So great was Master Tung's reputation, that he was asked to visit Cambodia between 1971 and 1974 to treat Cambodian President Long Nuo, who suffered from hemiplegia. Master Tung was also decorated by President Chiang Kai-shek with an "Honor Certificate in the field of Chinese Medicine", which is an amazing accomplishment because initially the Nationalist Party was not responsive to Chinese Medicine. Master Tung's Acupuncture is truly a living treasure and storehouse of Chinese Medicine, untouched by modem TCM, and a glimpse into the family systems of Chinese Medicine as taught in previous generations. It is itself a conglomerate of classical acupuncture and bloodletting methods, flexibly applied, and proven clinically with practical, quick, nd dramatic results. It is also the foundation f the Acupuncture system that I call "Optimal Acupuncture". Master Tung's Acupuncture is now a written legacy spurred on by writers like my own teacher, Young Wei-chieh, Lee Kuo Zhen, Lai Chin Hung, and others. In English, the work has been presented by Palden Carson and Wangden Carson, as well as Miriam Lee and fortunately, Dr. Maher has joined that field of celebrated writers on Tung's Acupuncture. Dr. Maher has unselfishly shared all the known protocols for treating OB/GYN problems in a quick, easy to read and use format for the practicing professional!